Browsing by Subject "Health occupations"

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    Essentials of Neonatal–Perinatal Medicine Fellowship: careers in Neonatal–Perinatal Medicine
    (Springer Nature, 2022) Trzaski, Jennifer M.; Kiefer, Autumn S.; Myers, Patrick; ONTPD Fellowship Directors Writing Group; Johnston, Lindsay C.; Pediatrics, School of Medicine
    The clinical and academic landscape of Neonatal-Perinatal Medicine (NPM) is evolving. Career opportunities for neonatologists have been impacted by shifts in compensation and staffing needs in both academic and private settings. The workforce in NPM is changing with respect to age and gender. Recruiting candidates from backgrounds underrepresented in medicine is a priority. Developing flexible positions and ensuring equitable salaries is critically important. Professional niches including administration, education, research, and quality improvement provide many opportunities for scholarly pursuit. Challenges exist in recruiting, mentoring, funding, and retaining physician-scientists in NPM. Creative solutions are necessary to balance the needs of the NPM workforce with the growing numbers, locations, and complexity of patients. Addressing these challenges requires a multi-faceted approach including adapting educational curricula, supporting trainees in finding their niche, identifying novel ways to address work/life integration, and attracting candidates with both diverse backgrounds and academic interests.
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    Moisture mitigation using a vented liner and a vented socket system for individuals with transfemoral amputation
    (Springer Nature, 2023-10-02) Gnyawali, Surya C.; Denune, Jeffrey A.; Hockman, Bryce; Valgerður Kristjánsdóttir, Jóna; Sól Ragnarsdóttir, Margrét; Timsina, Lava R.; Ghatak, Subhadip; Lechler, Knut; Sen, Chandan K.; Roy, Sashwati; Surgery, School of Medicine
    Sweating and heat buildup at the skin-liner interface is a major challenge for persons with limb loss. Liners made of heat-non-conducting materials may cause sweating of the residual limb and may result in liners slipping off the skin surface especially on a warm day or during high activity, causing skin breakdown and affecting limb health. To address this, we evaluated the efficacy of the vented liner-socket system (VS, Össur) compared to Seal-In silicone liner and non-vented socket (nVS, Össur) in reducing relative humidity (RH) during increased sweat. Nine individuals with limb loss using nVS were randomized to VS or nVS and asked for activity in a 20-min treadmill walk. RH was significantly attenuated (p = 0.0002) and perceived sweating, as reported by prosthesis users, improved (p = 0.028) with VS, patient-reported comprehensive lower limb amputee socket survey (CLASS) outcomes to determine the suspension, stability, and comfort were not significantly different between VS and nVS. There are limited rigorous scientific studies that clearly provide evidence-based guidelines to the prosthetist in the selection of liners from numerous available options. The present study is innovative in clearly establishing objective measures for assessing humidity and temperatures at the skin-liner interface while performing activity. As shown by the measured data and perceived sweat scores provided by the subjects based on their daily experience, this study provided clear evidence establishing relative humidity at the skin-liner interface is reduced with the use of a vented liner-socket system when compared to a similar non-vented system.
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    Part 6: Essentials of Neonatal–Perinatal Medicine fellowship: program administration
    (Springer, 2022) Gillam-Krakauer, Maria; Sharma, Jotishna; Myers, Patrick; ONTPD Fellowship Directors Writing Group; Bonachea, Elizabeth M.; Pediatrics, School of Medicine
    A successful Neonatal–Perinatal Medicine fellowship (NPM-F) program requires presence and insight of national and institutional supervisory organizations as well as effective program-specific leaders: program director (PD), associate program director (APD), program coordinator (PC), and core faculty. It is becoming more common for PDs and APDs to have advanced training in medical education and conduct medical education research. While NPM-F program leaders benefit from a strong national NPM educator community, they face challenges of increased regulatory burden and unclear national guidelines with variable local interpretation for protected time. National and local organizations can support program leaders and promote their academic success while reducing burnout and turnover by providing leadership training, academic mentoring, and adequate protected time for research and program-specific tasks.